KRISTIE MARIE DERDA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009045

License Status

ACTIVE

Business

First Name

KRISTIE MARIE

Last Name

DERDA

Business Name

KRISTIE MARIE DERDA

Original Issue Date

07/30/1997

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

BLUFFTON

State

Zip

29910

Ever Disciplined

LastModifiedDate

10/18/2024